Lacourt, David Joseph
Lacourt, David Joseph is an sole proprietor health care provider with primary practice located at 4004 Carlisle Blvd Ne Suite F, Albuquerque NM 87107-4565. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Lacourt, David Joseph can be contacted via phone (505) 830-1629.Contact Information
Primary practice address
4004 Carlisle Blvd Ne Suite F
Albuquerque NM 87107-4565
Phone: (505) 830-1629
Fax: (505) 869-1640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 525 | New Mexico |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301002442 | Minnesota |
| Behavioral Health & Social Service Providers / School | 103TS0200X | 240926 | New Mexico |
Profile Details
| NPI number | 1316097736 |
|---|---|
| LBN Legal business name | Lacourt, David Joseph |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316097736 | NPPES |
| New Mexico | MEDICAID | N0981 |
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